London's Pulse: Medical Officer of Health reports 1848-1972

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Hackney 1919

Report on the sanitary condition of the Metropolitan Borough of Hackney for the year 1919

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41
such patients as may be regarded as having a fair chance of cure, or,
at least, of benefit, by suitable treatment. He knows of many
cases which ought to be removed to some place where they could
be made comfortable, and be properly attended to, and he has
great difficulty in finding hospitals, or homes, which will receive
the cases.
"Dr. F. K. Moos, Tuberculosis Officer of the Metropolitan
Hospital Dispensary, is in complete accord with Dr. Howell both
as to the necessity of providing a home for advanced cases, and
as to the desirability of such provision locally, rather than at
some distant centre. He thinks that one might be provided at some
local centre which might be sufficiently easy of access to the friends
and relations of patients from the three Boroughs of Hackney,
Stoke Newington and Bethnal Green; or that one might be
associated with each of the two dispensaries, the one at Victoria
Park Hospital, and the other at the Metropolitan Hospital. Speaking
for his own district, he said that he could well do with 24 beds
for advanced cases at the present time, and probably a like number,
at least, would be required by Dr. Howell for his district; as a
minimum some 50 beds should be provided in the first instance.
He said that the conditions of some of the patients were very sad
as they were quite unsuitably housed and fed. It need hardly
be added that these cases are also a source of danger to their
relations.
'* Thus it is clear that the concensus of such medical opinion,
largely that of experts in tuberculosis work, as I have been able
to obtain, is very strongly in favour of provision for advanced
cases of tuberculosis, and that provision on some local readily
accessible site rather than at some large central institution for an
extended area, situated, probably, at some distance from this
district. I am in complete accord with the views expressed, and
would strongly urge your Committee to take steps to arrange
for the early provision of the required accommodation.